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NPI Code Detail

MEDICARE: OCEAN STATE URGENT CARE CENTER OF NEWPORT LLC

MEDICARE: OCEAN STATE URGENT CARE CENTER OF NEWPORT LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician
2363A00000XPhysician Assistant
3261QU0200XUrgent Care Clinic/Center

General Provider Information

NPI Number : 1235645334
Entity Type Code : Organization
Provider Name (Legal Business Name) : OCEAN STATE URGENT CARE CENTER OF NEWPORT LLC
Provider Business Mailing Address
First Line : 2130 MENDON RD STE 3-333
Second Line :
City : CUMBERLAND
State : RI
Zip : 02864-3844
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 67 VALLEY RD
Second Line :
City : MIDDLETOWN
State : RI
Zip : 02842-7274
Country : US
Telephone Number : 401-847-4950
Fax Number :
Authorized Official
Title or Position : GENERAL MANAGER
Name : JENNIFER ZUBA
Credential :
Telephone Number : 401-626-2748
Provider Enumeration Date : 12/27/2017
Last Update Date : 05/08/2018

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Directions to “OCEAN STATE URGENT CARE CENTER OF NEWPORT LLC ” Practice Location

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